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ChristianaCare Opens Three New School-Based Health Centers in Delaware Elementary Schools
To address health concerns when they are at their earliest, most preventable stages, ChristianaCare has opened three new school-based health centers in Delaware elementary schools: Brookside Elementary School in Newark – part of the Christina School District. Silver Lake Elementary School in Middletown – part of the Appoquinimink School District. Richardson Park Elementary School in Wilmington – part of the Red Clay School District. “At ChristianaCare, we recognize that early intervention is vital in order to address the comprehensive health needs of adolescents in our community,” said Erin Booker, chief bio-psycho-social officer at ChristianaCare. “Childhood trauma hurts the ability of children to learn and increases their risk of chronic disease and mental health issues. Through the opening of these three new school-based health centers, these children now have convenient access to medical services, behavioral health services and wraparound social care. These centers can improve their health and education and set them on a lifelong path of wellness.” These new elementary school Wellness Centers are a partnership between ChristianaCare, the Delaware School-Based Health Alliance, the schools and school districts, supported by New Castle County government with funds from the American Rescue Plan Act. With the latest additions, ChristianaCare now operates school-based health centers in seven elementary schools and 19 high schools and middle schools. Each ChristianaCare school-based health center includes a health care team of medical, mental health, community health and nutrition experts. The health centers also provide a host of services by appointment during the school day. A parent or guardian must provide a signed permission form prior to a student’s first visit to a health center. Priscilla Michelle Mpasi, M.D., FAAP speaks at the ribbon-cutting at Richardson Park Elementary School. “At ChristianaCare, we serve together, guided by our values of love and excellence, and that mission of service is why we are committed to improving the health and wellbeing of the community,” said Priscilla Michelle Mpasi, M.D., FAAP, assistant medical director for the Clinically Integrated Network and Delaware Medicaid Partners. “School-based health centers are the connection of whole-child health and education. As we all know, early intervention is the key to wellness. Children can learn better when they are happy and healthy and know they have a safe place to go when they need care.” At no cost to the students, and located within each elementary school, the three school-based health centers also alleviate the need for parents and students to find transportation to address their health care needs. “Ensuring that our students are prepared to learn is crucial, but it can be challenging when they are dealing with various obstacles,” said Dan Shelton, Ed.D., superintendent of Christina School District. “That’s why our collaboration with ChristianaCare and New Castle County presents an incredible opportunity to bring essential services directly to our school. By establishing an in-school wellness center at Brookside Elementary School, we are thrilled to provide our students with the support they need to be fully prepared and eager to learn.” “Empowering our future starts with nurturing the health and well-being of our youngest minds,” said Dorrell Green, Ed.D., superintendent of the Red Clay Consolidated School District, which oversees the new school-based health center at Richardson Park. “Elementary school-based health centers play a pivotal role in fostering a thriving community by providing accessible, comprehensive healthcare, ensuring every child has the opportunity to learn, grow, and succeed.” “We are so grateful to open the first school-based health center at an elementary school in Appoquinimink School District,” said Matt Burrows, superintendent of the Appoquinimink School District. “This wouldn’t be possible without the partnership of New Castle County Government and the Delaware School-Based Health Alliance. The services provided by school-based health centers span a large array of care – including physicals, vaccinations, mental health, and more. As fast as our community is growing here in the MOT area, we know access to health care can be a challenge for many of our families. Having these services inside one of our elementary schools will be incredibly helpful for our families. The services that are being provided by ChristianaCare are invaluable for our students and their families.”
Choosing whether to attend college is a pivotal moment in any high school student's life. It is a decision that can shape their future, determine their career path, and provide them with the necessary skills and knowledge to succeed in their chosen field. However, in a new study, the Education Advisory Board noted that nearly one-third (28%) of high school students cite mental health concerns as a reason they may choose to delay enrollment or opt out of college entirely. We have multiple experts here at the University of Delaware who can provide context to this phenomenon and talk about what could potentially be done to address the issues. Leigh McLean can speak primarily about teacher well being and she can also address student well being in the course of her research. Roderick Carey can speak about Black and Latinx students and their struggles with this decision. Broken down even further, 54% of trans students, 53% of nonbinary students, 33% of Black students, 30% of Native Americans and 30% of female students said this was their thinking. Nearly half (48%) of the students survey said "stress and anxiety overshadow their college search and planning." McLean and Carey have both been featured in multiple outlets including the Associated Press, Education Week and Chalkbeat. They can be reached by clicking their profiles.
The annual Healthy Georgia Report has been released by Augusta University’s Institute of Public and Preventive Health and it gives a snapshot of how Georgians stack up against not only neighboring states, but the country when it comes to a variety of health topics. This year’s report has added information on adult dental health, poor mental health, skin cancer and overdose deaths. Information on HIV risk behaviors, breast cancer screenings and colon cancer screenings have also returned. The report has been delivered to lawmakers, community leaders and researchers in Georgia to provide them with tangible figures on how Georgia is faring in numerous topics. The goal is to stimulate conversations about public health needs and, in turn, promote action, such as policy changes, greater community engagement and the appraisal of funds. Biplab Datta, PhD, assistant professor in the IPPH and the Department of Health Management, Economics and Policy, has collaborated with other IPPH faculty and staff to update the report. Datta has seen the impact this can have with state leaders. “They have a good appetite for data driven policy changes. I think this report actually helps them in that direction,” said Datta. “We tried to present data in a way that policy makers may find helpful in deciding on appropriate policy choices.” Overdose deaths is one of the new categories this year and is a hot topic nationwide. The report shows Georgia has the sixth lowest rate of overdose deaths in the country. Datta said that’s good, but the number is trending upwards and now should be the time to take steps to prevent it from getting worse. “We cannot be satisfied. We are doing a good job but need to be on our toes to prevent it from further ascending,” Datta said. Another category that Georgia is trending in a good direction is cigarette smoking. But the opposite is true for the obesity rate in the Peach State. The data shows Georgia has the 14th highest rate of obesity in all of the U.S. and the number is on the rise. The data also shows it’s related to household income and education. Adults who are below the federal poverty line and without a college degree are significantly more likely to be obese. Also, those in the 18-to-49 age group have a high rate of obesity compared to the national and regional average. “That is problematic because if someone is developing some cardiometabolic conditions in this age group, they will be at high risk for adverse cardiovascular events at an older age. So we need to focus on food habits, physical exercise, and other health promoting behaviors to prevent and control obesity,” Datta said. Another interesting topic is those in Georgia who have health insurance coverage. While coverage in adults is second lowest in the nation, there is a slight uptick in the number of people who have coverage from the past few years. The number is much better for children with health insurance. He points out that many state programs like PeachCare for Kids may account for the differences. Datta said one topic that definitely needs to be investigated more is cancer rates. He said we observe a low prevalence rate, despite the common perception and other data sources suggest a relatively higher incidence rate of cancer in Georgia. He believes we may be seeing lower survival rates that are not included in the survey. “I think we need more investigation into this particular issue,” said Datta. “Why are we seeing so low numbers of cancer prevalence when we know that cancer incidence rates are very high in Georgia?” The Healthy Georgia Report is the only report of its kind in the state Looking to know more or connect with Biplab Dhatta? Then let us help. Biplab is available to speak with media regarding this important topic. Simply click on his icon now to arrange an interview today.
Peer Support Program Helps Patients With Substance Use Disorders
Recognizing that stigma may keep people from accessing treatment and recovery resources, ChristianaCare Union Hospital is partnering with the Cecil County Health Department and Voices of Hope to make peer recovery specialists available at the bedside for patients who have experienced a drug overdose or live with substance use disorder. Ten peer recovery specialists are available at Union Hospital seven days a week from 8:30 a.m. to 1 a.m. to talk with patients about behavioral health care navigation, access to treatment and referrals to harm-reduction and recovery-support resources. Patients can be connected with a certified peer recovery specialist if they are brought to the Emergency Department because of a drug overdose, or if they screen positive for substance use while they are a patient in the hospital. ChristianaCare Union Hospital is partnering with the Cecil County Health Department and the Maryland nonprofit Voices of Hope to make peer recovery specialists, pictured in blue t-shirts, available at the bedside for patients who have experienced a drug overdose or live with substance use disorder. Patients are not required to speak with a peer recovery specialist, but the specialists’ unique combination of lived experience and training to help people experiencing behavioral health issues offers an opportunity for people with substance use disorder to get help without fear of judgment or stigma. “Substance use disorder continues to be a serious health problem that affects people of all ages and walks of life,” said Lanre Akinkunmi, M.D., interim chief medical officer and medical director for population health at ChristianaCare Cecil County Campus. “The good news is that it is treatable, and when people are in the hospital or the emergency department, they are often most receptive to discussions about treatment. Through this expanded use of peer recovery specialists at Union Hospital, we are making a positive impact on the health of our patients and our community.” A voice of experience Peer recovery specialists who work on the weekdays are employed by the Cecil County Health Department, supported by a grant from the National Association of County and City Health Officials. Voices of Hope, a nonprofit focused on recovery support for people in Harford and Cecil counties in Maryland, employs the peer specialists working evenings and weekends. “This program is a great example of using resources wisely and effectively. We already know the tremendous work being done by Voices of Hope and Cecil County Health Department to help our neighbors who have been impacted by substance use disorder,” said Lisa Fields, manager of Community Engagement at the Cecil County Campus. “By partnering on this important program, we are building trust with our patients and helping them to get on the road to recovery.” Since the expanded program launched in September, there have been about 40 referrals for patients to speak with peer support specialists, and more than half of them have agreed to some kind of treatment, Fields said. Unique connection “Helping people get through what I went through really warms my heart,” said Hannah Dean, a peer recovery specialist with the Cecil County Health Department who works at Union Hospital. “I love what I do.” Cecil County’s death rate from drug overdoses is nearly twice as high as the rest of Maryland and more than three times the U.S. rate. The drug overdose death rate in Cecil County more than doubled between 2016 and 2020, according to the 2022 Cecil County Community Health Needs Assessment. Because peer support specialists have lived experience with substance use disorder and recovery, along with specialized training to support people struggling with mental health or substance use issues, they can connect with patients on a personal level and offer empathetic guidance, said Lauren Levy, health officer for the Cecil County Health Department. “Allowing peer recovery specialists to engage bedside with patients who may be struggling with substance use disorders will not only enhance access to behavioral health treatment but will also help reduce stigma surrounding substance use disorders and foster a more compassionate and supportive community,” Levy said. “We are honored to be a part of this innovative private-public collaboration and to work alongside ChristianaCare Union Hospital and Voices of Hope, Inc. This project helps to break down barriers to treatment and provide immediate support to those in need.” A history of support ChristianaCare has long been a pioneer in the use of peer recovery specialists, going back to the launch of Project Engage at ChristianaCare’s Wilmington Hospital in 2008. Union Hospital first partnered with the Cecil County Health Department 10 years ago to provide a peer recovery specialist in the Emergency Department. That program, the first of its kind in Maryland, was recognized with a best practice award from the Maryland Association of Counties in 2014. However, it operated only on weekdays during daytime business hours, and its ability to connect with hospital patients slowed during the COVID-19 pandemic. This reinvigorated peer recovery program is strengthened by the high level of collaboration among these Cecil County organizations, said Erin Wright, chief operations officer for Voices of Hope. “As community-based organizations, we are in a position to make a difference, and our perspective in the care for people with substance use disorder is really valuable,” said Wright, who has been in recovery for eight years. “As someone who has been through it, we are able to have that empathy. Even if the person does not want to go to treatment, you sit with them and maybe plant a seed.” Catharine Murray hopes her role as a certified peer recovery specialist can help someone struggling with addiction see recovery as a viable option for themselves. “This wasn’t available to me when I was trying to get better. I want to make it more accessible to others,” she said.
#Expert Insight: Let’s Talk About Maternal and Postpartum Health
With increased maternal mortality rates in the news, and births involving inductions and c- sections on the rise despite their risks, Elizabeth Johnson-Young asks: 'What communication choices and strategies do women use after a negative birth experience?' Many women define certain aspects of childbirth as traumatic – from a mother or child’s life being put at risk to a host of less serious circumstances that can cause an unfavorable natal experience – and that can pose a threat to mental health. Who will they trust next when it comes to their maternal healthcare and their future decisions regarding birth? Johnson-Young’s project, “Birth, Trauma, and Communicating Maternal Health,” uses in-depth interviews of women who define their birth experience as difficult or traumatic. It focuses on choices and perceptions, and discusses the potential outcomes of listening, language and support. This is an important topic for health care providers, families and mothers and if you are looking to know more - then let us help. Dr. Elizabeth Johnson-Young is a published expert on health communication, especially maternal and family health. She is ready to help if you are looking to cover this topic - simply click on her icon now to arrange an interview today.
As Popularity of Weight Loss Medicine Soars, Professionals Caution Against “Magic Pill” Mindset
A growing weight-loss fad has been dominating headlines this summer. No, it isn’t a new type of trendy diet, exercise regimen or social media influencer-touted superfood. It’s two medications – Ozempic and Wegovy – that have skyrocketed in popularity as more Americans turn to these once-weekly injections to aid in their weight loss efforts. But, while acknowledging the drugs’ effectiveness, their intended patient populations and appropriate usage has become far more nuanced and situational, and the intended outcome of long-term weight loss and health is dependent on more than just taking either of these medications once a week. “While these medications can be helpful for some people who struggle with weight loss, it's important to remember that they are not a magic solution,” said Rebecca Shenkman, MPH, RDN, LDN, director of the MacDonald Center for Nutrition Education and Research at Villanova University’s M. Louise Fitzpatrick College of Nursing. First, it’s important to understand the components and histories of both Ozempic and Wegovy. They are prescription medications of the same drug, semaglutide, which belong “to a class of drugs known as glucagon-like peptide-1 (GLP-1) receptor agonists, originally developed to treat type 2 diabetes,” per Shenkman. It was discovered by researchers that significant weight loss was a side effect of semaglutide. Ozempic is the 2017 FDA-approved drug used to help treat diabetes. Currently, it is not FDA approved for weight loss and typically not covered by health insurance when used for that purpose, per Shenkman, but is often prescribed off label for “weight management in certain individuals who do not have diabetes, but struggle with obesity or [are] overweight.” Wegovy was approved by the FDA in 2021 as an anti-obesity drug used for individuals living with obesity or individuals with excess weight, but not classified as living with obesity, who also have other associated health problems. “When used correctly, the drugs can have many benefits,” Shenkman said. “[Semaglutide] is shown to improve diabetes and body weight in addition to seeing improvements in cardiovascular health and risk factors.” However, “correct use” is what concerns Shenkman and other health and nutrition professionals. “Anti-obesity drugs are a valuable tool for people who have not experienced adequate benefit from self-directed or professionally directed lifestyle treatment,” she said. “However, what we are seeing more and more of now is that people are requesting anti-obesity medications without meeting eligibility criteria for drug use, [such as] body mass index and weight criteria, [or] having the foundational knowledge and application of healthy lifestyle behaviors prior to medication use.” To Shenkman’s first point, there are several factors, especially in American society, driving those who may not meet the criteria for these medicines or even truly need them to request and ultimately receive the drugs. The media’s portrayal of ideal body image is an enormous influence, which can lead to “body dissatisfaction and a desire for quick weight loss solutions,” said Shenkman. Advertisements for these drugs often promote those ideas, and even downplay side effects, making them more appealing. Intrinsically tied to body image is the struggle many individuals have with psychological issues related to food, such as emotional or binge eating. “They feel that their self-worth is tied to their weight, and they will do almost anything to lose weight, whether it be five or 50 pounds.” Shenkman said. “These individuals might believe that medication will help them control their eating habits more effectively.” Identification of such issues prior to prescription approval is something that providers need to be aware of and screen for, Shenkman said. “It is so important for providers to complete a comprehensive pre-treatment assessment of their patients who start on weight loss medications. Unsupervised or improper use can lead to malnutrition, unhealthy weight loss, or even a worsening of an undiagnosed and/or undertreated eating disorder or mental health condition.” But even users who meet all pre-treatment criteria may be turning to the drugs in haste, or believe that they alone will solve their problems, and do so quickly. “Americans are known for having that ‘quick-fix mentality’ where people often seek quick solutions to their problems, including weight loss,” Shenkman said. “Weight loss medications might promise faster results compared to lifestyle changes, which can take time and dedication.” Compounding this “quick-fix mentality” is the frustration many feel when they fail to see results after multiple unsuccessful attempts at weight management. “The abundance of information on diets, exercise routines, and weight loss programs can be overwhelming… Some may turn to medications as they seem more straightforward and require less effort to understand,” explained Shenkman. But, as health care providers know, they are far from straightforward. All drugs, including Ozempic and Wegovy, come with the potential for side effects, which can vary with the individual. Headlines this summer focused on reports of users experiencing gastroparesis, described by Shenkman as the “the slowing down or ‘paralysis’ of the digestive system and gastric (or stomach) emptying.” Though most often reported to cause nausea and vomiting, complications of gastroparesis can be quite serious. “If someone continues the medication and experiences chronic gastroparesis, complications to be aware of include malnutrition, dehydration, acid reflux, blood sugar control and even bowel obstruction,” Shenkman said. The American Society of Anesthesiology also recently issued guidance on the use of such drugs prior to surgery, given potential life-threatening complications. “When prescribing anti-obesity medication, it is the responsibility of healthcare providers to inform patients about potential side effects and risks associated with the medication,” Shenkman said. “It is also the right of the patient/consumer to ask questions and understand what they are putting in their body. A thorough discussion about benefits and possible adverse effects can help patients make informed decisions about their treatment.” Many users may also not fully understand that these drugs are usually taken long-term, even after reaching a desired weight. Stopping without the knowledge of how to keep the weight off may lead to its return. Considering the pros and cons of the drugs, Shenkman’s advice is simple. “Weight loss medications should always be used as part of a comprehensive weight management plan, which includes a balanced diet, regular physical activity, and lifestyle changes. Relying solely on medications without addressing other aspects of weight management is not likely to lead to long-term success no matter how long you stay on a medication.”
Five Tips to Choose Sustainable Fashion
Getty Images Fast Fashion is the most popular trend in retail fashion today. Fast Fashion isn’t a specific style but rather clothing produced quickly and cheaply to respond instantly to consumer demand. Low prices and popular online retailers allow people to purchase clothing more often but at a devastating cost to the environment. According to EarthDay.org, the fashion industry is one of the largest global polluters, creating 4% of all greenhouse gas emissions, 40 million tons of landfill waste and 35% of microplastics in the ocean. According to fashion expert Jay Yoo, Ph.D., associate professor of apparel merchandising in the Robbins College of Health and Human Sciences at Baylor University, consumers are learning more about the environmental impacts of fashion and searching for better options. Fashion expert Jay Yoo, Ph.D., associate professor of apparel merchandising in the Robbins College of Health and Human Sciences at Baylor University Fashion expert Jay Yoo, Ph.D. Yoo’s research shows that purchasing apparel products that help reduce negative impacts on the environment has emerged as a lifestyle. “Fashion-conscious consumers are ready and willing to forgo fast fashion for more sustainable options produced in an ecologically and socially responsible way,” said Yoo. Yoo recommends five ways you can use your purchasing power to support sustainable fashion. Choose natural fibers - organic cotton, linen or hemp. Avoid clothing that requires dry cleaning. Donate to and shop at resale stores. Purchase from retailers that are committed to sustainability. Encourage your friends to join you in supporting sustainable fashion. Although fashion is often understood to center on apparel choices, fashion impacts nearly every aspect of human lives, Yoo said, including health, social responsibility and environmental issues involving consumptive behaviors. His additional research interests include appearance-related behaviors and their implications for individual and social well-being from consumer perspectives, from body-tanning behaviors, body image and quality of life among cancer patients, retail therapy and mental health, and irrational shopping and extreme body modification.
The Loneliness Epidemic: Fathoming Feelings and Emotions
Last month, United States surgeon general Vivek Murthy released an advisory to address a budding "public health crisis." The culprit is not immediately visible, like the shutdown-spurring COVID-19 pandemic, but it is currently affecting nearly half of all adults in the U.S. It's our widespread senses of loneliness and isolation, and Murthy says addressing these feelings is "critical" to addressing issues of mental health in America. Assistant professor Guy Weissinger, PhD, MPhil, RN, is a nurse, scientist and educator focusing on mental health and health systems at Villanova University's M. Louise Fitzpatrick College of Nursing. Dr. Weissinger believes, despite the difficult nature of navigating unseen nemeses, there are ways to quell this epidemic and save lives. Q: Why is the feeling of loneliness now seen as a crisis? Dr. Weissinger: It's important to understand that loneliness is not just a person not having friends or not having good relationships. Loneliness is a feeling, the sense that one is distant from others while yearning to feel connected. These two sides make loneliness hard to understand sometimes because there are people who are happy with low amounts of social engagement and there are people who feel lonely even when they are surrounded by friends. Like hunger saying it's time to eat, loneliness is a message that we are not fulfilling a social and psychological need—and it's a big problem because so many parts of our mental and physical health are tied to having active social engagement. Q: In an increasingly connected world, why are these feelings of isolation also increasing? DW: Interacting with other people doesn't actually make us less lonely, especially through things like social media. A sense of being emotionally close to others—reciprocity of attention and care—is what makes people less lonely. It's clear that people are spending less time focused on social relationships than in the past. The "connection" that we have through social media is not the connection that addresses our deeper psychological needs. Upvotes and clicks feel good, but they do not make us feel understood and appreciated for our whole selves. In-depth conversations, shared projects and laughing about inside jokes—the kind of things that happen over extended interactions—are what actually make us feel less lonely. This isn't to say that people don't connect and get less lonely when they engage digitally. It's about the quality and depth of interactions, not the modality. Q: What are some ways loneliness and isolation can be addressed? DW: If you are lonely, reach out to someone. Often, we wait for others to initiate because we don't want to be a bother or fear rejection. If they say no, move on to another person. It's hard not to take it personally, but if you are feeling lonely, the worst thing to do is to dwell on why it's hard to schedule with "Friend A" and instead focus on finding another person to connect with. And when you are with people, try to focus your attention on them. Put away your phone or other distractions and ask open-ended questions like, "What's the best thing that happened this week?" or "How has [thing you know they enjoy] been recently?" Even if it's not a person that you are super close to, both listening to them and opening up yourself helps you feel more connected. If you are worried that someone else is lonely, ask them to do something, especially if it's something you know they like. Asking a person who loves movies to go see a movie with you will make them feel like you care more than asking them to a yarn festival, even if you'd prefer the yarn festival. Dr. Weissinger says people who report that they have a regular social connection with others, especially in person, are more physically active, less likely to be depressed and are better able to better navigate difficult circumstances. "While we often talk about resilience as being an individual trait, having good social support is one of the most powerful kinds of resilience," mentions Dr. Weissinger. "When times are hard, we can rely on our friends, family and larger social network to help with problem solving, resources, emotional support and even just simple distraction." Dr. Weissinger says that a crisis as large as loneliness and isolation can't be solved through the recommendations of one person, but says connection and unity are key to fighting back against this epidemic. "People with more and more varied connections don't have simpler lives or less bad things happen to them, but they get through them easier because they can rely on others to help them manage in the ways they need."
ChristianaCare Named one of Mogul’s Top 100 Companies with Inclusive Benefits
Recognition affirms ChristianaCare’s deep commitment to inclusion and diversity ChristianaCare has been recognized as one of the Top 100 Companies with Inclusive Benefits by Mogul, a diversity recruitment platform that partners with the world’s fastest-growing companies to attract and advance top diverse talent. ChristianaCare was recognized for both its “diverse hiring practices” and “progressive workplace resources.” “At ChristianaCare, we embrace diversity and show respect to everyone, and we reinforce these behaviors through purposeful actions that enable all our caregivers to serve our neighbors with love and excellence,” said Neil Jasani, M.D., MBA, FACEP, chief people officer at ChristianaCare. “By offering a wide array of inclusive benefits, we more fully support our caregivers in their commitment to being exceptional today and even better tomorrow.” The honor by Mogul is the latest recognition for ChristianaCare’s commitment to inclusion and diversity. ChristianaCare, Delaware’s largest private employer, has committed to being an anti-racism organization and works to ensure that this commitment is reflected through the organization’s policies, programs and practices. (Read more about ChristianaCare’s anti-racism commitment here.) ChristianaCare President and CEO Janice E. Nevin, M.D., MPH, has signed the CEO Action for Diversity & Inclusion Pledge. This pledge outlines a specific set of actions the signatory CEOs will take to cultivate a trusting environment where all ideas are welcomed and employees are empowered to have discussions about diversity and inclusion. More than 3,100 of ChristianaCare’s caregivers also have signed the pledge. ChristianaCare’s inclusion and diversity efforts feature 11 employee resource groups, which connect caregivers who have a common identity or bond with one another. Formed by employees across all demographics – including disability, race, military status, national origin and gender identity – these voluntary, grassroots groups work to improve inclusion and diversity at ChristianaCare. More than 1,350 caregivers participate. ChristianaCare has developed LeadershipDNA, a leadership development program that is specifically targeted to underrepresented caregivers early in their careers. ChristianaCare’s deep commitment to inclusion and diversity also includes: Providing $500,000 in scholarships to 10 high school students in Delaware who plan to pursue degrees in health care. Supporting Project Search, which is a nationally recognized program dedicated to providing education and training to young adults with intellectual and developmental disabilities. Participation in Project Hope, a partnership with external agencies that provides support to individuals who were involved with the criminal justice system. This program creates pathways to meaningful and sustainable employment within ChristianaCare. Participation in Project Veteran through career fairs that target veterans. Elimination of bias in hiring through biannual education for all hiring managers, along with leader demographic scorecards to support building a diverse workforce. Parental leave of 12 weeks for the bonding, care and wellbeing of a newborn, adopted children or foster care children. This policy applies to both birthing and non-birthing caregivers. Behavioral health services for employees that include access to professionals who specialize in mental health care and substance use disorder. A work life employee assistance program that provides free and confidential resources designed specifically for caregivers and their families. Coverage in employee health plans for gender affirmation surgery, which consists of medical and surgical treatments that change primary sex characteristics for individuals diagnosed with gender dysphoria. Autism spectrum disorders benefits – such as diagnostic assessment and treatment – to the children of caregivers who are under 21 years of age. “Our commitment to inclusion and diversity touches all areas of our organization – including our benefits packages,” said Natalie Torres, director of Inclusion & Diversity at ChristianaCare. “We know that when we offer an inclusive benefits package that anticipates the needs of our caregivers, they can better support their families and provide better care to our community.”
Infant seating devices may reduce language exposure
When a parent needs to cook dinner or take a shower, often they will place their baby in a bouncy seat, swing, exersaucer, or similar seating device intended to protect the baby and grant a degree of independence to both the parent and infant. For many parents, these devices represent a helpful extra set of hands; for babies, the freedom to safely explore their immediate surroundings. As useful as these devices are to both parents and infants, they may present trade-offs regarding their effect on infants’ exposure to adult language, which is critical for language development. That’s according to a new study by researchers at the Stress and Early Adversity Lab at Vanderbilt Peabody College of education and human development. Within infants’ natural environments and daily routines, the study explored interactions between their exposure to adult language and their placement in seating devices, which support posture and promote the infant’s ability to play with objects or observe their surroundings without direct support from a caregiver. The researchers found that infants were exposed to fewer words when spending time in seating devices compared to when spending time in other placements. They also found that infants who spent the most time in seating devices heard nearly 40 percent fewer daily words compared to infants who spent the least amount of time in seating devices. Infants with more, compared to less, seating device use also had less consistent exposure to adult language throughout the day. Sixty mothers and their 4- to 6-month-old infants participated in this study. For three days, a Language Environment Analysis audio recording device (i.e. “talk pedometer”) captured language exposure. The mothers inserted the audio recorder into the pocket of a vest their babies wore. Automated software estimated from the recordings the total number of adult words spoken to or near the infant over the course of a day. To record real-time behaviors of infant placement, the mothers responded to 12 brief surveys per day about their infant’s current location and use of seating devices. Caregiver reports of their child’s placement in seating devices accounted for 10 percent of an infant’s daily exposure to adult words, which the researchers say is a striking finding due to the complex nature of language exposure and how many other factors may influence children’s exposure to speech (e.g. caregiver’s talkativeness, presence of other siblings). Kathryn Humphreys, assistant professor of psychology and human development and expert in infant and early childhood mental health, is the senior author of the study. She notes that infant seating devices can provide a convenient way to keep infants safely contained while caregivers attend to other tasks. However, given the potential for frequent and prolonged use of these devices, she says that parents may want to be intentional about interactive opportunities while the infant explores their surroundings as well as consider wearing or otherwise carrying their infant on their body as much as possible to create more opportunities for engagement through speech. “While we need more research to be certain that seating devices reduce the richness of infants’ language environments, these findings are influencing my own decisions about intentional placement with my 6-month-old." - Kathryn Humphreys Kathryn Humphreys She suggests that safe and convenient places are a boon for both infants and their caregivers, but that there is a risk for reduced levels of interactions when infants are stationary and not moving to where their caregivers are active.
